# LEISURE CHATEAU ACQUISITION LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Leisure Chateau Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790772267
- **Authorized official:** MR. NORMAN ROKEACH LNHA (ADMINISTRATOR)
- **Authorized official phone:** (732) 370-8600

## Contact information

- **Practice address:** 962 RIVER AVE, LAKEWOOD, NJ 08701-5605
- **Practice address phone:** (732) 370-8600
- **Practice address fax:** (732) 370-8676
- **Mailing address:** 962 RIVER AVE, LAKEWOOD, NJ 08701-5605
- **Mailing address phone:** (732) 370-8600
- **Mailing address fax:** (732) 370-8676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061515 | NJ | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 04/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4493605 | — | NJ |
| 01 | — | 5952870001 | MEDICARE NHIC | NJ |